Vija Plume

Vija Plume

Medical services

Gynaecological consultations

Comprehensive gynaecological consultation would incorporate several stages: the patient discusses various issues with her doctor, say, her state of health, case history, complaints etc., to be followed by a patient examination in a gynaecological chair, ultrasound examination, inspection of mammary glands and other analyses, if necessary.

The doctor advises on fertility issues and provides a prophylaxis and medical treatment of gynaecological diseases, assists with pregnancy planning and care, as well as consults on the most suitable choice of contraception.

Laparoscopic surgery

Laparoscopy is a minimally invasive surgery to examine and treat a female’s internal organs. The doctor employs specific, narrow-diameter instruments, and an optical tool connected to a monitor. Laparoscopy is used to diagnose and treat endometriosis, uterine myomas, adhesions of the pelvis minor, ovarian cysts, oviduct disorders, polycystic ovary syndrome etc.

Hysteroresectoscopy

Hysteroresectoscopy may be applied to rid the uterine cavity of pathological growths – fibroids, polyps, adhesions in the uterine cavity, clots in the uterine lining that may increase the risk of uterine cancer. Hysteroresectoscopy is performed with intravenous anesthetic agents. If there are no ensuing complications, the patient may depart for home right away.

Hysteroscopy is a procedure that allows a doctor to look inside the uterine cavity. The procedure is carried out with the help of a hysteroscope (a thin tube with a telescope on one end). The image of the uterine cavity is then transferred from the hysteroscope to the monitor. The purpose of the hysteroscopy procedure is to diagnose the reasons behind the female’s complaints (symptoms) associated with the uterine cavity. These symptoms could be heavy hemorrhage during menstrual periods, irregular menstrual periods, hemorrhage between menstrual periods, hemorrhage after intercourse, or upon arrival of menopause, etc.

Cervical electroexcitation

Electroexcitation is one of the methods for treating cervical premalignant changes. In the case of high-risk changes, it is a small operation when a small tissue fracture is cut out of the cervix with a cone or semicircular loop, where were found premalignant changes. This small surgery is most commonly done in the short-term intravenous anesthesia, in some cases it can be done in the local anesthetic. The main objective is to eliminate the changed cells and minimize exposure on healthy tissue.

Aesthetic and reconstructive gynecology

The aesthetic gynecology solves functional problems and improves the appearance of the genitals. The intimate plastics is required to remove any congenital or acquired defects, tissue deformations, arisen as result of various diseases or injuries, it helps to replace lacking or to restore lost functions. There problems can touch a woman after the childbirth, women during the period of pre-menopause, menopause and post-menopause, as result of weight fluctuations.

The aesthetic surgery offers to the women a good opportunity to remove defects ant to improve wellness and comfort.

The aesthetic gynecology solves problems like relaxation of vaginal tissues, vaginal dryness, atrophy of vaginal mucous membrane, urinary incontinence, itch and burning sensation, repeated infections, as well as discomfort of intimate life and reduced libido. These usually cause both physical restrictions and psychologically unpleasant moments for women.

The intimate plastics of various kinds are performed:

Correction of labia majora and labia minora (Labiaplasty) – procedure of surgical correction of the labia using CO2 laser;

vaginal plastics (Vaginoplasty) – surgical correction of the vagina, if there is descent of vagina or birth traumas;

FemiLift procedure

The procedure known internationally under the name of FemiLift – the laser vaginal thightening, which restores vaginal firmness and tone.

Vaginal mucosa with years losing its elasticity. The decrease in the flexibility of the vaginal mucosa interferes with many women who have had natural birth, although there are cases when it happens to woman for which the caesarean was performed.

The vaginal enlargement deteriorates the quality of life because the woman is no longer able to gain as much sexual satisfaction as before. Problems with urinary incontinence may also occur.

AlmaLasers CO2 fractional lasers with many impulses make a “shot” into flexibility-losing collagen fibers of mucous. Local tissue healing is occurring which results in the fibres recovering their ability to tighten. The collagen fibers tighten, and the vaginal mucus becomes stronger, tighter and thicker.

Femilift is an outpatient procedure that lasts 15 to 20 minutes and is performed in a gynecologist’s office. The procedure is done without anesthesia, is painless and, after this procedure, the woman can continue her daily routine.

Gynecological injections

Gynecological injections are hyaluronic acid injection in the intimate zone. Hyaluronic acid injections increase volume and skin tonics by adjusting the appearance of the intimate zone and reducing vaginal dryness.

Injections are used to prevent external genital aesthetic defects, to prevent discomfort and unpleasant sensations, to improve sexual quality of life and sexual pleasure and to reduce loads of urinary incontinence.

The injection uses hyaluronic acid, a natural substance that helps moisturize the skin and give it the volume. As the skin gets older, the amount of hyaluronic acid in it decreases, so the skin is gradually ages and loses its tone.

There are different types of procedures – enlarging outer lips, improving G-point sensitivity and revitalizing intimate parts. The procedure takes about 30-40 minutes and the doctor uses local anesthesia. After the procedure, the desired effect is immediately achieved, and no recovery is required.

Ultrasound examinations

Ultrasonography is a painless, and harmless method of gynecological examination based on the ability of the ultrasound to bounce off of the tissues and organs with the echoes converted into a picture (sonogram). The ultrasonography is employed to examine the pelvis minor, ovaries, oviducts, uterus, cervix and adjacent organs of the pelvis minor. In case of pregnancy, the doctor examines the fetus, placenta, cervix and ovaries.

VIJA PLUME

I am a practicing gynaecologist with extensive experience in both – the public and private sectors. The purpose of my daily work is to help women remain healthy, cheerful and be successful partners in their personal relationships and in their family lives.

The website www.vijaplume.lv has been designed as a tool of reference aimed at educating and informing the public on the latest developments and issues specific to women (especially health), in family planning, the development and nurturing of personal relationships. Some issues can only be resolved face-to-face – by visiting a competent doctor, and therefore the website has a separate section devoted to this.

Reviews

I am very grateful for treatment. Dr Plūme and her colleagues provided excellent service. Clear, honest answers and support that we received created a feeling of safety throughout the process, which we very much appreciate. It would have been better if we had met Dr V. Plūme earlier.

Ilze and Ivars

Kind THANK YOU… For looking after, for kindness and strictness at the right moment! You know you are in the right place — owing to you so many have met each other — we too! Our beautiful daughter Amālija Laura is born!

Inguna and Emīls

I have been to at least 20 gynaecologists. I have met somebody like you for the first time. I am inexpressibly grateful to you for your respectful attitude, professionalism and care for me. Your humanity and openness allowed trusting you from the very first moment. I am grateful to the destiny that it led my way to you. I also thank your entire team who took care of me before, during and after the operation. You all have superb attitude to people. Thank you!

Ieva

I kindly thank you for the successfully performed operation in February this year. Your and your team’s communication and the entire experience together with you let me feel respected and valuable. I cannot put my joy into words and I am very much obliged to you for the possibility of giving birth for my long awaited son Richard, weight 3450 gr, 52 cm tall.

Mara

Thank you for the performed highly professional and good quality operation. I am fine and the wounds are also healing well. Even my husband appreciated that the scars are almost unnoticeable. Yesterday we completed the antibiotic course and we adhered to all your instructions for 100%. Now we are going to start working on the goal set. If you do not mind, I will definitely recommend you as an outstanding professional gynaecological surgeon to my friends. I will definitely inform you about a positive outcome. Thank you once again.